Low Back Pain
Conditions
Keywords
low back pain, physiotherapy, muscle fatigue
Brief summary
The purpose of this study is to analyze the effects of an exercise program, based on the Pilates method, on the low back pain and muscle fatigue of Brazilian Air Force helicopter pilots.
Detailed description
Methods: This is a randomized controlled trial composed by Brazilian Air Force helicopter instructors. The volunteers will be submitted to an initial evaluation composed by painful sensation, analyzed through the Numerical Pain Scale, disability associated with low back pain, using the Roland Morris Disability Questionnaire, and back muscle fatigue, through the Ito test. The pilots will be randomly assigned to the Exercise Group (exercise program based on the Pilates method, twice a week for 12 weeks) and Control Group (no intervention). After the sixth and 12th week of the beginning of the intervention program a new evaluation will be carried out, identical to the initial one.
Interventions
The individuals of the Pilates group will perform specific exercises of the method, which will involve mobility, stability and muscular resistance. The exercises will progress according to the level of difficulty (basic, intermediate and advanced), load and repetition every three or four weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Brazilian Air Force helicopter instructors - Natal Air Base; * Nonspecific low back pain for more than 3 months with a score of 2 or more at Numerical Pain Rating Scale.
Exclusion criteria
* Be undergoing physiotherapeutic treatment during the study period; * Corticosteroids treatment in the last two weeks; * Anti-inflammatory treatment in the previous 72 hours; * Have specific spinal pathologies, such as spondylitis, spondylolysis, spondylolisthesis, disc herniation with radiculopathy or those who have had spinal surgery in the last year or who have a recent history of spinal fracture.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Painful sensation | Change from baseline in low back pain sensation at 6 weeks and 12 weeks after the intervention protocol | To compare the painful sensation in the lumbar region using the Numerical Pain Rating Scale (NPRS) across a range of 11, with 0 being described as 'no pain' and 10 as 'worst possible pain'. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional disability associated to back pain | Change from baseline in disability at 6 weeks and 12 weeks after the intervention protocol | To analyze the self-report low back pain disability through the Roland Morris Disability questionnaire. |
| Back muscle fatigue | Change from baseline in back muscle fatigue at 6 weeks and 12 weeks after the intervention protocol | Measure the back muscular resistance to fatigue using the Ito test |
Countries
Brazil